Cover Image

A rare cause of acute abdominal pain

Viviana Bozzano, Paolo Aseni, Sandro Di Domenico, Riccardo Colombo, Mariella Corciulo, Andrea Bellone
  • Viviana Bozzano
    Department of Internal Medicine, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy
  • Paolo Aseni
    Department of Emergency Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy | paoloaseni@gmail.com
  • Sandro Di Domenico
    Department of Emergency Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
  • Riccardo Colombo
    Department of Emergency Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
  • Mariella Corciulo
    Department of Emergency Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
  • Andrea Bellone
    Department of Emergency Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

Abstract

Acute abdominal pain represents a challenge for the physician because it can hide a serious intra-abdominal pathology necessitating emergency intervention. A 65-year old man presented to Emergency Department with sudden-onset abdominal pain. He underwent liver transplantation four years before. He complained tenderness on abdominal palpation. Blood chemistry and abdominal x-ray were normal. Contrast-enhanced computed tomography showed acute renal artery thrombosis. The patient underwent renal arterial thrombectomy and stent placement in less than two hours. Organ transplantation is a condition that makes patients at greater risk of life-threatening conditions. Renal artery thrombosis is a rare, severe and misdiagnosed condition which can benefit from a prompt cooperation among emergency physician, surgeon, and interventional radiologist. Transplant patients with acute abdominal pain should be considered at high risk of medical emergency. Acute renal artery thrombosis is a time dependent medical emergency in those patients with chronic drug-induced nephrotoxicity.

Keywords

acute abdominal pain; emergency department; renal artery thrombosis; liver transplantation

Full Text:

PROVISIONAL PDF
Submitted: 2017-07-31 10:24:49
Published: 2017-11-07 10:26:23
Search for citations in Google Scholar
Related articles: Google Scholar
Abstract views:
126

Views:
PROVISIONAL PDF
56

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM




Copyright (c) 2017 Viviana Bozzano

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
 
© PAGEPress 2008-2017     -     PAGEPress is a registered trademark property of PAGEPress srl, Italy.     -     VAT: IT02125780185